Dear Sir/Madam

Thank you for enquiring about membership of Okinawan Goju-Ryu Karate Association of Namibia.  

You will find all the required information on our Google Drive at the following link:

Link to membership information folder

Please come to the Dojo for a free trial class. You can confirm at the Dojo if you want to join or by WhatsApp to 081 124 2879 (our office number).

We are looking forward to train with you. 

Kind regards

Sensei Carl P Van Der Merwe

Chief Instructor

 

 

First name:

Last name:

OGKAN Membership and Waiver Agreement accepted (refer to the link to the Google Drive):

Select Dojo to be attended:

Date of birth:

Gender:

Mobile:

Phone:

E-mail:

Nationality:

National ID no.:

Residential address:

Weight:

Medical Aid Fund and number:

Medical conditions/allergies:

Employer / School / University:

How did you hear about us:

Current member of another karate school? Previous martial arts experience? Please provide detail.:

Children younger than 18 years - Father / Guardian Name and surname:

Children younger than 18 years - Father / Guardian Cell. no.:

Children younger than 18 years - Father / Guardian Email address:

Children younger than 18 years - Father / Guardian Employer:

Children younger than 18 years - Mother / Guardian Name and surname:

Children younger than 18 years - Mother / Guardian Email address:

Children younger than 18 years - Mother / Guardian Cell. no.:

Children younger than 18 years - Mother / Guardian Employer:

Adults older than 18 years - Next of Kin A Name and Surname:

Adults older than 18 years - Next of Kin A Cell. no.:

Adults older than 18 years - Next of Kin A Employer:

Adults older than 18 years - Next of Kin A Email address:

Adults older than 18 years - Next of Kin B's Name and Surname:

Adults older than 18 years - Next of Kin B Cell. no.:

Adults older than 18 years - Next of Kin B Email address:

Adults older than 18 years - Next of Kin B Employer: